Page 203 - S. Ličen, I. Karnjuš, & M. Prosen (Eds.). (2019). Women, migrations and health: Ensuring transcultural healthcare. Koper, University of Primorska Press.
P. 203
Culturally Sound Midwifery Care for Migrant Mothers
competency, called The Process of Cultural Competence in the Delivery of
Healthcare Services – PCCDHS. It describes five constructs, namely cultural
desire, cultural awareness, cultural knowledge, cultural skills, and cultural en-
counters. She intertwines cultural sensitivity into the other four constructs,
especially into encounters and skills. However, she introduces two new con-
cepts, namely cultural encounters and cultural desire. The foundational con-
struct of the model that creates the possibility to develop the other four
constructs is cultural encounters. It consists of continuous interaction with
patients from diverse backgrounds in order to validate, refine, or modify ex-
isting values, beliefs, and practices about a cultural group. Continuous be-
cause health professionals should not make generalisations over one ethnic
or religious group from just a few encounters they have had. Cultural desire
is the midwife’s motivation to intrinsically want to engage in the process of
becoming culturally competent versus to be forced into it.
The Need for Culturally Sensitive Health and Midwifery care in Slovenia
Slovenia as the member country of the European Union (EU), faced numer-
ous refugee and migration flows from 2016 to 2018. According to the lat-
est data from Eurostat (see http://ec.europa.eu/eurostat), 4.7 million people
moved to one of the countries of the EU in 2015 and 2.7 million of them were
from the countries that are not EU members. Although the flow of immi-
grants passed Slovenia many times, the majority wanted to achieve western
countries of the EU (Germany, the UK, France, Spain, Italy), which made Slove-
nia merely a transit country. Despite that, a proportion of immigrants and
refugees stopped in Slovenia due to different reasons. According to the data
from the Ministry of the interior of the Republic of Slovenia from 2018 (see
http://www.mnz.gov.si), the biggest numbers of the valid licences for domi-
ciles were given to persons from Bosnia and Herzegovina, Kosovo, Macedo-
nia and Serbia, which indicates that the key migration flow is still from the
Balkan countries. At the same time, according to the Ministry, the number
of applications for international protection has increased during the period
from 2016 to 2018. In 2018, the number of applicants for international pro-
tection was 1430, of which 91 were men. The majority of applicants came
from countries such as Pakistan, Algeria, Afghanistan, Morocco, Syria, Iran
and Iraq (see http://www.mnz.gov.si). Slovenia as an EU member and a part
of the Geneva Convention is obliged to offer international protection to the
persons who do not receive protection in their own country. This includes
refugee status or subsidiary protection.
The migration flows also leave many challenges in the field of healthcare.
201
competency, called The Process of Cultural Competence in the Delivery of
Healthcare Services – PCCDHS. It describes five constructs, namely cultural
desire, cultural awareness, cultural knowledge, cultural skills, and cultural en-
counters. She intertwines cultural sensitivity into the other four constructs,
especially into encounters and skills. However, she introduces two new con-
cepts, namely cultural encounters and cultural desire. The foundational con-
struct of the model that creates the possibility to develop the other four
constructs is cultural encounters. It consists of continuous interaction with
patients from diverse backgrounds in order to validate, refine, or modify ex-
isting values, beliefs, and practices about a cultural group. Continuous be-
cause health professionals should not make generalisations over one ethnic
or religious group from just a few encounters they have had. Cultural desire
is the midwife’s motivation to intrinsically want to engage in the process of
becoming culturally competent versus to be forced into it.
The Need for Culturally Sensitive Health and Midwifery care in Slovenia
Slovenia as the member country of the European Union (EU), faced numer-
ous refugee and migration flows from 2016 to 2018. According to the lat-
est data from Eurostat (see http://ec.europa.eu/eurostat), 4.7 million people
moved to one of the countries of the EU in 2015 and 2.7 million of them were
from the countries that are not EU members. Although the flow of immi-
grants passed Slovenia many times, the majority wanted to achieve western
countries of the EU (Germany, the UK, France, Spain, Italy), which made Slove-
nia merely a transit country. Despite that, a proportion of immigrants and
refugees stopped in Slovenia due to different reasons. According to the data
from the Ministry of the interior of the Republic of Slovenia from 2018 (see
http://www.mnz.gov.si), the biggest numbers of the valid licences for domi-
ciles were given to persons from Bosnia and Herzegovina, Kosovo, Macedo-
nia and Serbia, which indicates that the key migration flow is still from the
Balkan countries. At the same time, according to the Ministry, the number
of applications for international protection has increased during the period
from 2016 to 2018. In 2018, the number of applicants for international pro-
tection was 1430, of which 91 were men. The majority of applicants came
from countries such as Pakistan, Algeria, Afghanistan, Morocco, Syria, Iran
and Iraq (see http://www.mnz.gov.si). Slovenia as an EU member and a part
of the Geneva Convention is obliged to offer international protection to the
persons who do not receive protection in their own country. This includes
refugee status or subsidiary protection.
The migration flows also leave many challenges in the field of healthcare.
201
